Explore Measures & Activities

How to Use This Tool

This tool has been created to help you get familiar with the available measures and activities for each performance category under traditional MIPS. It’s for planning purposes only and will not submit anything to CMS. To get the most out of the tool, follow the steps below:

  1. Explore (Search, browse, or filter) available measures
  2. Add measures you’re interested in to your list
  3. Download your list of interested measures for reference

Performance Year

Select your performance year to view across all tabs.

2022 Quality Measures: Traditional MIPS

30% of final score

This percentage can change due to Special Statuses, Exception Applications or reweighting of other performance categories.

You must collect measure data for the 12-month performance period (January 1 - December 31, 2022). The amount of data that you must submit (“data completeness”) depends on the collection (measure) type.

Read more about Quality requirements

2022 Medicare Part B Claims Measure Specifications and Supporting Documents (zip)2022 CMS Web Interface Measure Specifications and Supporting Documents (zip)2022 Quality Benchmarks (zip)2022 Clinical Quality Measure Specifications and Supporting Documents (zip)2022 Quality Measures List (xlsx)2022 Qualified Clinical Data Registry (QCDR) Measure Specifications (xlsx)2022 Cross-Cutting Quality Measures (zip)2022 Risk Standardized, All-Cause Unplanned Admissions for Multiple Chronic Conditions for MIPS (zip)2022 Hip Arthroplasty and Knee Arthroplasty Complication Measure (zip)2022 Hospital-Wide, All-Cause Unplanned Readmission Measure (zip)

Note: This tool does not include these QCDR Measures (XLSX)

200 Quality Measures |

  • Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

    High Priority Measure:Process
    Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy.

    Collection Type and Documentation

  • Adherence to Antipsychotic Medications For Individuals with Schizophrenia

    High Priority Measure:Intermediate Outcome
    Percentage of individuals at least 18 years of age as of the beginning of the performance period with schizophrenia or schizoaffective disorder who had at least two prescriptions filled for any antipsychotic medication and who had a Proportion of Days Covered (PDC) of at least 0.8 for antipsychotic medications during the performance period.

    Collection Type and Documentation

  • Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

    All patient visits during which a new diagnosis of MDD or a new diagnosis of recurrent MDD was identified for patients aged 18 years and older with a suicide risk assessment completed during the visit.

    Collection Type and Documentation

  • Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

    High Priority Measure:Outcome
    Patients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment who did not require a return to the operating room within 90 days of surgery.

    Collection Type and Documentation

  • Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

    High Priority Measure:Outcome
    Patients aged 18 years and older who had surgery for primary rhegmatogenous retinal detachment and achieved an improvement in their visual acuity, from their preoperative level, within 90 days of surgery in the operative eye.

    Collection Type and Documentation

  • Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

    High Priority Measure:Process
    Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms.

    Collection Type and Documentation

  • Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)

    High Priority Measure:Process
    Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis.

    Collection Type and Documentation

  • Advance Care Plan

    High Priority Measure:Process
    Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.

    Collection Type and Documentation

  • Age Appropriate Screening Colonoscopy

    High Priority Measure:Efficiency
    The percentage of screening colonoscopies performed in patients greater than or equal to 86 years of age from January 1 to December 31.

    Collection Type and Documentation

  • Age-Related Macular Degeneration (AMD): Dilated Macular Examination

    Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage AND the level of macular degeneration severity during one or more office visits within the 12 month performance period.

    Collection Type and Documentation